Disease is oftentimes considered purely scientific. If an individual feels sick, they can go to their doctor, take some tests and leave with a medically-based diagnosis. Take
strep throat- not only can you visibly recognize the appearance of this disease, but you can get a definitive diagnosis by taking a throat culture. If you have it, there's no denying it and you can get medication, feeling secure about your specific prescription. However, not all diseases are so clear. Consider those diseases or disorders that are diagnosed merely by appearance or by vague symptoms, such as
ADHD.
ADHD, a neurobehavioral disorder, is diagnosed through a psychiatric assessment. Essentially, information about you is collected, some other diseases must be ruled out, and then you get a diagnosis. There is no blood test or study that can be done to verify your diagnosis, meaning error and over-diagnosis is possible. The possibility of error sounds even more like a reality when you look at the symptoms/criteria associated with ADHD. Some include: difficulty focusing, daydreaming, talking nonstop, impatience. To be quite honest, I've experienced all of these symptoms at some point in my life. However, I wouldn't say that I have ADHD. Neither would many others, apparently, as ADHD is currently considered
one of the most over-diagnosed diseases.
Along with depression, bipolar disorder and stress, ADHD has been creating controversy. What could be the main theme here? I would argue that these are all appearance-based diseases or disorders. Because of the lack of lab tests, blood samples, or any type of distinct evidence, they are being diagnosed by appearance (symptoms, trends, etc). Doctors, teachers and parents will look at an individual, study their general being, and come to a conclusion. Sometimes it is accurate- don't get me wrong- and treatment can benefit patients, however it's hard to ignore the fact that
ADHD diagnosis among children has increased by 22% in 4 years. Is it possible that this disease, having not even "existed" until the 1990s, has so rapidly spread? Additionally, how can we explain the fact that ADHD has been diagnosed more in certain regions of the United States than others (see chart above)?
Bringing in approximately $3 billion every year to pharmaceutical companies for ADHD medication, I begin to wonder whether or not we are just craving diagnosis. Maybe our culture has begun to over-embrace the idea of diagnosing a disease and treating it with medication. What if these children are just hyper and distracted? What if it's just a phase? What if those characteristics are symptoms for a different, more severe disease? With appearance-driven disorders like ADHD, one cannot be sure. Taking this uncertainty into consideration and recognizing that there are some children taking
119 pills every week for their disorders, it seems necessary to question whether or not it's okay for doctors to so heavily rely on medication for "appearance-based" disorders. Though medication can sometimes help ADHD patients, it also isn't necessary in some cases. In others, the child may even be misdiagnosed.
With all of this in mind, I would say that our society needs to step away from medicine and try to fight off the craving for a diagnosis. We should more thoroughly examine these disorders and diseases and not let the ease of prescribing medication overshadow the complexity of these "appearance-based" disorders. Perhaps more emphasis must be put on lifestyle changes, such as, in the case of ADHD, finding ways to limit distractions or teaching those with the disorder how to naturally subdue their symptoms. Medicine will always be an option, but certainly shouldn't be the convenient way out. Appearance isn't everything and sometimes what may seem like a certain disorder will end up being something completely different. Let's eliminate our urge to label and medicate and take a more thorough look at how we are handling diseases and disorders.